Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $107.15	Facility		$38.02	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $60.26	Professional		$38.02	$38.02	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $194.98	Facility		$41.69	$70.79	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $72.44	Professional		$38.02	$42.66	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.02	Facility		$36.31	$36.31	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $120.23	Professional		$38.02	$38.02	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $38.02	Facility		$30.90	$36.31	$38.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $120.23	Professional		$38.02	$38.02	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $53.70	Professional		$29.51	$41.69	$53.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $74.13	Professional		$32.36	$53.70	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $41.69	Professional		$38.02	$38.02	$41.69